| Code | Description | Claims | Beneficiaries | Total Paid |
| 0001A |
|
445 |
436 |
$12K |
| 0002A |
|
289 |
286 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
58 |
46 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,578 |
1,273 |
$2K |
| 80051 |
|
773 |
617 |
$943.52 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
22 |
18 |
$869.67 |
| 85027 |
|
427 |
378 |
$590.13 |
| 82565 |
|
690 |
549 |
$586.06 |
| 84520 |
|
731 |
590 |
$539.34 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
363 |
305 |
$527.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
196 |
186 |
$508.39 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
12 |
$435.51 |
| 84443 |
Thyroid stimulating hormone (TSH) |
137 |
126 |
$431.80 |
| 82947 |
|
598 |
484 |
$362.40 |
| 80076 |
|
197 |
170 |
$347.42 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
69 |
65 |
$181.18 |
| 86803 |
|
32 |
29 |
$99.89 |
| 86708 |
|
13 |
12 |
$74.34 |
| 87340 |
|
14 |
13 |
$72.31 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$66.53 |
| 82570 |
|
14 |
14 |
$65.78 |
| 86706 |
|
14 |
13 |
$62.65 |
| 82043 |
|
13 |
13 |
$48.29 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
12 |
$48.16 |
| 80061 |
Lipid panel |
59 |
56 |
$40.17 |
| 81001 |
|
114 |
108 |
$37.99 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
55 |
51 |
$35.09 |
| 83721 |
|
57 |
54 |
$31.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
25 |
$27.72 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
34 |
31 |
$25.00 |
| 81025 |
|
12 |
12 |
$7.30 |
| S9999 |
Sales tax |
19 |
15 |
$0.00 |
| 91300 |
|
18 |
18 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
12 |
$0.00 |